Increasing claim denials significantly impacting hospital revenue performance.
Claim Denials Steadily Increasing—What You Need to Know
Category: Quadax Blog
2020 CAQH Index Reveals Significant Cost Savings Opportunities
Increased use of automation, but $16.3 billion savings potential still remains for healthcare industry
Automating common healthcare administrative transactions, such as prior authorization, has reduced annual costs by $122 billion, finds the 2020 CAQH Index. However, the industry is still leaving $16.3 billion in potential savings on the table.
5 Things Technology Can Do, and 7 Things it Can’t.
Automation is more and more important in today’s patient financial services office. Shrinking margins dictate smaller teams, while the complexity of achieving reimbursement only increases. In that environment, being able to rely on advanced, highly-automated technology is essential for your efficiency…and your sanity.
Demand More from Your Clearinghouse
Increasing financial pressure related to changing healthcare economic realities requires the pursuit of continuous improvement and streamlined productivity. To attain continuously advancing revenue cycle goals, every element of your business office system must be a high-performing contributor – especially your claims clearinghouse.
Potential New CMS COVID-19 Testing Policies & Pricing on the Horizon?
CAP calls on CMS to cease policy on test turnaround time, reimburse appropriately
Healthcare M&A Activity Increasing—Will You Be Impacted?
Pandemic likely catalyst for future deals and partnerships
Struggling with Price Transparency? You’re Not Alone.
Lack of compliance and central repository creating laborious manual processes
Examine COVID Claims to Find RCM Weaknesses in Your Lab
As the virus continues to spread and testing volumes increase, high claim volumes can exacerbate existing billing issues. Studying COVID denials and payments can help you recognize operational inefficiencies that are hurting revenue.
Hospital Revenues Bleak Entering 2021: How Technology is the Answer
Providers eager to embrace technology, freeing them from billing and payment burdens
AHA Loses Latest Legal Battle Challenging Price Transparency
AHA claimed requirement too burdensome; judges skeptical, rule in favor of HHS
The American Hospital Association (AHA) was hoping for intervention from the D.C. Circuit Court of Appeals as the Price Transparency rule requiring hospitals to publicize rates goes into effect Friday, January 1, 2021. The AHA filed for an emergency notion to block the rule from going into effect, citing hospitals are overwhelmed with COVID-19 vaccine distribution and record-high caseloads of COVID-19.
